Strawberry gallbladder

Strawberry gallbladder refers to the surface appearance (not shape) of the mucosa of the gallbladder due to multiple small collections of triglycerides and cholesterol esters within the lamina propria of the gallbladder wall. 

Strawberry gallbladder represents diffuse cholesterolosis and is a common, idiopathic, non-neoplastic condition.


There is deposition of cholesterol esters within the lamina propria of the gallbladder wall.

It may occur in two forms:

  • diffuse
  • localized

Radiographic features

  • brightly hyperechoic foci within the gallbladder wall
  • no posterior acoustic shadowing
  • when cholesterosis is focal, it forms multiple small cholesterol polyps which may show comet tail artifact

Differential diagnosis

On ultrasound consider:

Inspired signs
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Article Information

rID: 2092
System: Hepatobiliary
Section: Signs
Synonyms or Alternate Spellings:
  • Cholesterolosis
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    Figure 1: strawberries
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    Case 1: strawberry gallbladder and stones
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